Abstract：
OBJECTIVES:Numerous techniques have been described for supporting the vaginal vault after enterocele repair and hysterectomy. We describe a transvaginal culdosuspension that obliterates the cul-de-sac and supports the vaginal cuff high on the levator plate. The normal vaginal axis is restored, and adequate vaginal depth is provided for normal sexual activity. METHODS:One hundred four patients, aged 48 to 90 years (mean age 71), underwent transvaginal culdosuspension in conjunction with enterocele repair (62 patients), vaginal hysterectomy (20 patients), or both (22 patients). Two culdosuspension sutures support the vaginal vault to the origin of the sacrouterine and cardinal ligaments, and the cul-de-sac is obliterated with two pursestring sutures. Concomitant prolapse was repaired in 82 patients, bladder neck suspension in 50, cystocele repair in 45, and rectocele repair in 76. RESULTS:One hundred patients were followed up at a mean of 17.3 months (range 6.5 to 35). Recurrence of enterocele or vault prolapse occurred in 4 patients. All patients who had preoperative stress incontinence were cured of leakage. Complications were rare, and there were no instances of vaginal foreshortening, urinary retention, vaginal skin necrosis, bladder perforation, or rectovaginal fistula. CONCLUSIONS:Transvaginal culdosuspension is a safe and effective procedure for treating and preventing enterocele and vaginal vault prolapse. This technique restores the normal vaginal depth and axis, resulting in a sexually functional vagina.
journal_name
Urologyjournal_title
Urologyauthors
Comiter CV,Vasavada SP,Raz Sdoi
10.1016/s0090-4295(99)00266-6subject
Has Abstractpub_date
1999-11-01 00:00:00pages
819-22issue
5eissn
0090-4295issn
1527-9995pii
S0090429599002666journal_volume
54pub_type
临床试验,杂志文章相关文献
UROLOGY文献大全abstract：OBJECTIVE:To introduce a grading system (kidney, ureter, and bladder [KUB]) to identify encrusted stents that may require multiple surgeries, multimodal surgery, and operative time > 180 minutes for successful removal. METHODS:One hundred ten retained encrusted ureteral stents were retrospectively scored using the KUB...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2016.06.050
更新日期：2016-11-01 00:00:00
abstract：:A double-blind prospective study was performed on 34 patients undergoing transurethral resection of the prostate (TURP). Seventeen patients, selected at random by computer, were given 5,000 units of subcutaneous heparin three hours preoperatively and every twelve hours thereafter for forty-eight hours. The other 17 re...
journal_title：Urology
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s0090-4295(83)80007-7
更新日期：1983-09-01 00:00:00
abstract：OBJECTIVES:To compare, in a multicenter, randomized clinical trial, collagen injections versus surgery with regard to efficacy, quality of life, satisfaction, and complications. METHODS:Of 133 women with stress urinary incontinence, 66 were randomized to collagen injection and 67 to surgery (6 needle bladder neck susp...
journal_title：Urology
pub_type： 临床试验,杂志文章,多中心研究,随机对照试验
doi：10.1016/j.urology.2004.11.054
更新日期：2005-05-01 00:00:00
abstract：OBJECTIVE:To evaluate the efficacy and safety of wideband Doppler ultrasound-guided mini-endoscopic combined intrarenal surgery (mini-ECIRS) for large renal stones. MATERIALS AND METHODS:This study included 41 patients with large renal stones (>30 mm) treated by mini-ECIRS using a retrograde flexible ureteroscope and ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2016.05.038
更新日期：2016-09-01 00:00:00
abstract：OBJECTIVES:To investigate the efficacy of pazopanib, both alone and in combination with docetaxel, in bladder cancer cells. Bladder cancer expresses many potential therapeutic targets of biological agents, including the vascular endothelial growth factor receptor (VEGFR). Pazopanib is a small molecule inhibitor of VEGF...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2011.02.041
更新日期：2011-07-01 00:00:00
abstract：:Partial segment priapism or segmental thrombosis of the corpus cavernosum is a rare urologic condition reported 23 times in the world literature. We present the clinical and radiologic findings of a 22-year-old man who presented 7 days after the onset of symptoms in whom the diagnosis was confirmed with magnetic reson...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2008.06.040
更新日期：2009-02-01 00:00:00
abstract：:Leiomyomas account for less than 0.43% of all bladder tumors. To date only about 250 cases have been reported in the literature. Pulmonary lymphangioleiomyomatosis (LAM) is a rare lung disease featuring abnormal proliferation of atypical smooth muscle cells around bronchovascular structures. We describe a woman with L...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2007.11.031
更新日期：2008-04-01 00:00:00
abstract：OBJECTIVES:To evaluate the long-term hemostatic efficacy of a new high-intensity collimated ultrasonic (HICU) applicator for open subhilar partial nephrectomy (PN) in the porcine model. METHODS:An applicator was designed with a planar 3.78-MHz HICU transducer and a reflector to optimize the delivery of acoustic energy...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2006.02.006
更新日期：2006-07-01 00:00:00
abstract：OBJECTIVE:To use the tuberous sclerosis complex (TSC) Natural History Database to describe monitoring and treatment patterns among patients with TSC-related angiomyolipomas (AMLs). METHODS:This study used the TSC Natural History Database, which contains demographics, affected areas, diagnosis, and treatments for more ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2017.02.036
更新日期：2017-06-01 00:00:00
abstract：OBJECTIVES:To compare results of urinary cytology, quantitative detection of human complement factor H-related protein (BTA TRAK), and urinary fragments of cytokeratins 8 and 18 (UBC IRMA) with the recurrence status in patients with pTapT1 bladder cancer and to define the possible role of these methods in a surveillanc...
journal_title：Urology
pub_type： 临床试验,杂志文章
doi：10.1016/j.urology.2007.12.021
更新日期：2008-04-01 00:00:00
abstract：OBJECTIVES:To compare the efficacy of two different topical betamethasone treatment regimens with respect to outcome and untoward effects in boys with phimosis. METHODS:Boys with phimosis whose parents opted for medical management were treated with topical betamethasone (0.05%) and manual retraction. One author (J.S.P...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2008.02.030
更新日期：2008-07-01 00:00:00
abstract：OBJECTIVE:To report our experience with salvage high-intensity focused ultrasound (HIFU) in patients with local failure after brachytherapy for prostate cancer. PATIENTS AND METHODS:Whole-gland HIFU was administered to prospectively recruited patients with local histologic failure after brachytherapy at 2 institutions...
journal_title：Urology
pub_type： 杂志文章,多中心研究
doi：10.1016/j.urology.2014.06.054
更新日期：2014-11-01 00:00:00
abstract：:Secondary pyelo-pyelic anastomosis has been a successful method of management of the renal transplant patient in whom a ureteral slough or stenosis developed. We herin report our experience with 3 cases. ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(90)80224-b
更新日期：1990-08-01 00:00:00
abstract：:Cortical and whole kidney radionuclide transit parameters were studied in 16 patients who underwent a pyeloplasty for unilateral pelviureteral junction (PUJ) obstruction. As expected, the whole kidney mean transit time was found to be very sensitive but, due to the low specificity, not very helpful in the distinction ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(88)90249-x
更新日期：1988-10-01 00:00:00
abstract：OBJECTIVES:To determine whether cycling has an effect on serum PSA, gonadotropins, and uroflowmetric parameters. METHODS:A total of 34 healthy male athletes from the National Cycling Team and 24 healthy male student volunteers from University and medical staff were prospectively enrolled in the study. Blood samples fo...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2009.07.1219
更新日期：2009-12-01 00:00:00
abstract：:Transurethral resection of prostate (TURP) still remains the "gold standard" surgical treatment for benign prostatic hyperplasia (BPH). In recent years, holmium laser enucleation of prostate (HoLEP) gets more and more popularity in the world. Our objective is to compare the efficacy and safety of HoLEP and TURP for BP...
journal_title：Urology
pub_type： 杂志文章,meta分析
doi：10.1016/j.urology.2019.03.034
更新日期：2019-09-01 00:00:00
abstract：OBJECTIVES:To present the results of repairing congenital or acquired penile torsion by means of a simple surgical procedure that does not involve resection of corporeal tissue. METHODS:Forty-six circumcised patients (mean age 27 months, range 6 to 119) presented with isolated penile torsion of a greater than 30 degre...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2007.01.014
更新日期：2007-02-01 00:00:00
abstract：OBJECTIVE:To explore the margin, ischemia, and complications (MIC) system achievement rate within a population of patients who were treated with robotic partial nephrectomy (RAPN), at 3 different tertiary care centers, and to determine the factors predicting MIC achievement. METHODS:The study population consisted of 3...
journal_title：Urology
pub_type： 杂志文章,多中心研究
doi：10.1016/j.urology.2014.09.068
更新日期：2015-03-01 00:00:00
abstract：OBJECTIVES:To evaluate the differences, if any, in outcomes with transperitoneal (TP) versus extraperitoneal (EP) approaches during robotic-assisted radical prostatectomy (RARP). METHODS:We reviewed the data from 40 consecutive patients who underwent EP-RARP at our institution by the same surgical team. The outcomes w...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2006.07.008
更新日期：2006-11-01 00:00:00
abstract：OBJECTIVES:To determine whether obstruction of the vas deferens alters several general measures of prostate development during puberty and during prostate maintenance in the adult rat. Previous reports have suggested the possibility that vasectomy results in alterations of prostate function in experimental animals and ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(02)01673-4
更新日期：2002-07-01 00:00:00
abstract：OBJECTIVES:Urologists routinely use the systematic sextant needle biopsy technique to detect prostate cancer. However, recent evidence suggests that this technique has a significant sampling error. We developed a novel three-dimensional (3D) computer-assisted prostate biopsy simulator based on whole-mounted step-sectio...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(99)00068-0
更新日期：1999-05-01 00:00:00
abstract：OBJECTIVE:To evaluate the agreement between radiologic staging of bladder cancer using multidetector row computed tomography (CT) and histopathologic staging and estimate the influence of interobserver variability of the CT findings as a potential limitation of this imaging modality. The available data on the value of ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2012.01.040
更新日期：2012-06-01 00:00:00
abstract：:A 30-year-old man with a history of bilateral deep vein thromboses and recurrent penile ischemic episodes presented for distal penile amputation and skin graft. Despite suspicion, serologies indicated no hypercoagulable disorder. After surgery, the patient was bridged from enoxaparin to warfarin. Nine days after initi...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2010.03.006
更新日期：2011-02-01 00:00:00
abstract：:Treatment of a series of 194 patients with T3 (B2/C) tumors by radical radiotherapy, 5,000 to 5,500 rad in four weeks, produced a five-year survival of 40 per cent. Patients whose tumor completely disappeared after treatment (N = 97) had a five-year survival of 69 per cent. These results raise doubts about the necessi...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(84)90199-7
更新日期：1984-10-01 00:00:00
abstract：OBJECTIVES:To evaluate the reliability of voiding cystourethrography (VCUG) to diagnose infravesical obstruction in boys. METHODS:Hard copies of the VCUG findings of 72 boys were assessed by two pediatric radiologists and two pediatric urologists. The investigators were instructed to consider six items related to infr...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2003.11.047
更新日期：2004-05-01 00:00:00
abstract：:Transurethral resection of the prostate (TURP) is necessary in a significant proportion of men with a diagnosis of carcinoma of the prostate. Often, "channel" TURP (resection of visually obstructing tissue without extension to the prostatic capsule in a patient with metastatic or locally advanced disease to improve vo...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(91)80170-c
更新日期：1991-12-01 00:00:00
abstract：:Percutaneous ureteral splinting using a modified catheter technique is described, and experience in treating 5 patients (4 with postoperative fistulas and 1 with stricture) is reported. The method offers an effective alternative to surgery in achieving ureteral splinting and renal drainage. ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(77)90022-x
更新日期：1977-08-01 00:00:00
abstract：OBJECTIVE:To compare clinicopathologic features and survival outcomes for men 50 years of age in relation to other age groups stratified by race to further define prostate cancer (CaP) in young men. Controversy exists regarding the appropriate age to undergo CaP screening, outcomes for early intervention, and whether t...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2010.12.046
更新日期：2011-07-01 00:00:00
abstract：OBJECTIVES:To test the delivery of prostaglandin E1 (PGE1) in novel transdermal liposomal formulations through foreskin and to determine whether there is a correlation between in vitro transdermal absorption and in vivo efficacy in patients with erectile dysfunction. METHODS:The in vitro transdermal absorption of PGE1...
journal_title：Urology
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s0090-4295(98)00299-4
更新日期：1998-11-01 00:00:00
abstract：:The diagnosis of metastatic testicular carcinoma in a thirty-three-year-old man and his nineteen-year-old brother is reported. Histologically, the tumor of the older brother consisted predominantly of embryonal carcinoma with minor components of seminoma and adult teratoma; the tumor of the younger brother consisted e...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(88)90233-6
更新日期：1988-10-01 00:00:00
